Apparatus and method for anchoring surgical instrumentation

• US 5,616,131 A
• Filed: 04/18/1995
• Issued: 04/01/1997
• Est. Priority Date: 09/23/1992
• Status: Expired due to Fees

• Current Assignee: LSI Solutions, Inc.
• Original Assignee: Lasersurge, Inc.
• Inventors: Sauer, Jude S., Greenwald, Roger J., Oravecz, Michael G.
• Primary Examiner(s): Lucchesi, Nicholas D.
• Application Number:
  US08/425,035
• Time in Patent Office: 714 Days
• Field of Search: 604/174, 604/175, 604/177, 604/178, 604/179, 604/180
• US Class Current: 604/174
• CPC Class Codes: A61B 17/0057 Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect sutures A61B17/04; closing rectum or urethra near body surface A61F2/0009
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0469 Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
• CPC Class Codes: A61B 17/34 Trocars; Puncturing needles pointed biopsy instruments A61B10/0233; devices for piercing the ear-lobes A44C7/001; seals or hemostasis valves A61M39/06
• CPC Class Codes: A61B 2017/00637 for sealing trocar wounds through abdominal wall
• CPC Class Codes: A61B 2017/00663 the implement being a suture
• CPC Class Codes: A61B 2017/047 having at least one proximally pointing needle located at the distal end of the instrument, e.g. for suturing trocar puncture wounds starting from inside the body
• CPC Class Codes: A61B 2017/0472 Multiple-needled, e.g. double-needled, instruments
• CPC Class Codes: A61B 2017/06057 Double-armed sutures, i.e. sutures having a needle attached to each end
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61M 2025/0286 anchored in the skin by suture or other skin penetrating devices
• CPC Class Codes: A61M 25/02 Holding devices, e.g. on the body

Abstract

An apparatus for anchoring surgical instrumentation to tissue having a collar with structure thereon for attaching the collar to a surgical instrument and suture receiving structure disposed peripherally on the collar, the suture receiving being configured and dimensioned to receive an anchoring suture therein. A method is disclosed for using the apparatus whereby at least one suture provided in the peripheral tissue adjacent the surgical instrumentation is wrapped within the receiving structure.

Claims

1. Apparatus for securing a surgical instrument disposed in tissue at an incision in a patient, comprising:

a collar member having an outer wall;

mounting means disposed on a portion of said collar member spaced from said outer wall for mounting said collar member to an outer surface of an instrument such that said mounting means is disposed around the instrument to permit selective longitudinal movement of the instrument relative to the apparatus; and

a suture receiving portion formed on said outer wall of said collar ember for releasably receiving a suture secured in said tissue to anchor the instrument in said tissue wherein said suture receiving portion is defined by a pair of disks separated by a predetermined distance, said disks forming a peripheral groove therebetween for receiving and retaining said suture.

2. Apparatus according to claim 1 wherein at least one of said disks defines at least one slot for receiving a suture, said slot being substantially transverse to a circumference of said at least one disk.

3. Apparatus according to claim 1 wherein said disks are separable from each other.

4. Apparatus according to claim 1 wherein at least one of said disks has a plurality of annular grooves formed on a surface thereof such that said suture when wrapped between said disks fits within said grooves as it is wrapped.

5. Apparatus according to claim 1 wherein said collar member is adapted to be removably attached to said at least a portion of the surgical instrument.

6. A trocar cannula comprising:

an elongated tubular member having a housing formed at a proximal end and a distal end adapted for insertion of said distal end into an incision in a patient'"'"'s body, said tubular member having a longitudinal bore for accommodating a surgical instrument; and

a collar member associated with said housing at said proximal end of said tubular member and disposed external to the patient'"'"'s body, said collar member having outer wall, said outer wall having a peripheral groove disposed thereabout such that portions of said peripheral groove are disposed at least on opposite sides of said collar member for releasably receiving a suture secured in the patient'"'"'s body for anchoring said tubular member in the incision in the patient'"'"'s body wherein said retaining means includes a pair of disks separated by a predetermined distance said disks forming a peripheral groove therebetween for receiving and retaining said suture.

7. Apparatus according to claim 6 wherein at least one of said disks defines at least one slot for receiving said suture, said slot being substantially transverse to a circumference of said disk.

8. A trocar cannula according to claim 6 wherein said disks are separable from each other.

9. A trocar cannula according to claim 8 wherein at least one of said disks has a plurality of annular grooves formed on a surface thereof such that said suture is received within said grooves as it is wrapped between said disks.

10. Method of anchoring a surgical instrument to tissue comprising the steps of:

(a) providing suture anchoring apparatus which comprises;

i. collar means having an outer wall;

ii. mounting means disposed on said collar means for attaching said collar means to at least a portion of a surgical instrument; and

iii. means disposed on said outer wall of said collar means for receiving a suture, said suture receiving means being configured and dimensioned to receive said suture therein;

(b) positioning said surgical instrument in an incision in tissue of a patient'"'"'s body;

(c) providing at least one suture in tissue adjacent said incision and said surgical instrument; and

(d) wrapping said at least one suture about said collar means within said receiving means whereby said surgical instrument is held such that a longitudinal axis of said surgical instrument is positioned at a predetermined nonparallel angle relative to the surface of the tissue.